Provider Demographics
NPI:1891366241
Name:ORMAND, TIFFANY JAMES (FNP-C)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:JAMES
Last Name:ORMAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 LITTLE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-6215
Mailing Address - Country:US
Mailing Address - Phone:704-678-8435
Mailing Address - Fax:
Practice Address - Street 1:3037 STOCKWOOD DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8927
Practice Address - Country:US
Practice Address - Phone:704-833-8576
Practice Address - Fax:980-448-3296
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily